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Site Visits

BCBSIL requires an on-site office visit every two years for primary care physicians (PCPs) for continued participation in the HMO product. High-volume behavioral health specialists are reviewed for the HMO product for the purposes of credentialing. For the POS product, the on-site visit is only required once at the time of initial participation in the network. An on-site visit is not required for practitioners participating with the PPO product. BCBSIL may perform an on-site visit more frequently than every two years for quality improvement purposes and as a result of a complaint. The current BCBSIL site visit standards used for auditing are available for you to print.

 
HMO UM Site Visit Standard Audit Tool
 
Form Name
File Size
  UM Site Visit Standard Audit Tool - 2008
35 KB
     
Site Visit Reports
 
Form Name
File Size
  HMO Site Visit Comparison 2004-2007
29 KB
HMO Behavioral Health Site Visit Comparison 2004-2007
12 KB
  2007 HMO Site Visit Summary
9 KB
   
HMO and POS Quality Site Visit Standards
 
Form Name
File Size
  HMO and POS Quality Site Standards - Full Version
80 KB

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